LAPAROSCOPIC PROCEDURES IN CHILDREN WITH PANCREATIC PSEUDOCYSTS



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Introduction. Pancreatic pseudocysts are encapsulated fluid sacs in the omentum having no epithelial lining; they appear in the pancreas after injury and inflammation. Recently, there has appeared a trend to treat pancreatic pseudocysts with laparoscopic surgical interventions. The article describes laparoscopic treatment of pancreatic pseudocysts in 10 children. Objective. To evaluate the effectiveness of laparoscopic interventions in children with pseudocysts in the pancreas. Material and methods. In 2013-2018, 10 laparoscopic surgeries in children, aged 4-17 (5 boys and 5 girls), with pancreatic pseudocysts were performed at the department of pediatric surgery in the Russian Medical Academy of Continuous Professional Education. Indications for surgery were: pancreatic pseudocysts having diameter more than 6 cm and wall thickness more than 3-4 mm, no effect after the conservative therapy , cyst formation more than 3 months, persistent pain syndrome. Results. The choice of a surgical technique was defined by pseudocyst etiology and location. The children had six laparoscopic cystoeunoanastomoses, two partial cystectomies with a distal pancreatojejunoanastomosis and two partial cystectomies with a longitudinal pancreatojejunoanastomosis when the cyst was formed at the chronic pancreatitis. No intraoperative complications were seen. Early postoperative complications occurred in 2 patients: an external pancreatic fistula at the drainage site (1) and intestinal obstruction (1) at the level of the intestinal anastomosis. Conclusion. Laparoscopic surgeries in children with pancreatic pseudocysts are effective and less traumatic. The laparoscopic technique allows to make a complete revision, to perform sequestrnecrectomy , if necessary, as well as to take the material for histological examination and to ensure a reliable long-term drainage.

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Yu. Sokolov

Russian Medical Academy of Post-Graduate Education

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A. Efremenkov

Russian Medical Academy of Post-Graduate Education; Central Clinical Hospital with the clinic of the Management Affair of President Russian Federation

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G. Tumanian

Russian Medical Academy of Post-Graduate Education

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M. Akopyan

Saint Vladimir Children’s Municipal Clinical Hospital

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A. Shapkina

Pacific State Medical University

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R. Akhmatov

Russian Medical Academy of Post-Graduate Education

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D. Antonov

Perm State Medical University named after E.A. Wagner

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参考

  1. Della Corte C, Faracib S., Majoc F. et al. Pancreatic disorders in children: New clues on the horizon. Dig Liver Dis, Digestive and Liver Disease. 2018; 50 (9), 886-93.
  2. Visser B.C., Muthusamy V.R., Yeh B.M. Diagnostic evaluation of cystic pancreatic lesions. HPB (Oxford) 2008;10 (1): 63-9.
  3. Соколов Ю.Ю., Туманян Г.Т., Ольхова Е.Б. и др. Лапароскопические операции у детей с патологией поджелудочной железы. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2015; 5(3): 14-9
  4. Yoder S.M., Rothenberg S., Tsao K. et al. Laparoscopic treatment of pancreatic pseudocysts in children. J. Laparoendosc Adv Surg Tech A. 2009;19 (1): 37-40.
  5. Bhattacharya D., Ammori B.J. Minimally invasive approaches to the management of pancreatic pseudocysts: review of the literature. Surg Laparosc Endosc Percutaneous Tech. 2003;13(3):141-8.
  6. Haluszka O, Campbell A, Horvath K. Endoscopic management of pancreatic pseudocyst in children. Gastrointest Endosc. 2002; 55: 128-31.
  7. Sharma S.S., Maharshi S. Endoscopic management of pancreatic pseudocyst in children-a long-term follow-up. J. Pediatr Surg. 2008 ; 43(9): 1636-9.
  8. Shanafey S., Shun A., Will S. Endoscopic Drainage of Pancreatic Pseudocysts in Children. Journal of Pediatric Surgery. 2004; 39(7): 1062-5.
  9. Смирнов А.Н., Трунов В.О., Мордвин П.А. Хирургическое лечение кист поджелудочной железы у детей. Детская хирургия. 2015; 19 (6): 40-5
  10. Alzaiem M., Zaiem F , Zaiem F. Congenital pancreatic pseudocyst presenting as neonatal ascites J. Ped Surg Case Reports. 2016; 11: 44-6.
  11. Ramos-Gonzalez GJ., Medfordb SD, Kima HB. Transduodenal cystoduodenostomy for pancreatic pseudocyst in two young children. Journal of Pediatric Surgery Case Reports/ 2018; 34: 20-2.
  12. Цуман В.Г., Машков А.Е., Сигачев А.В. и др. Тактика лечения детей с острым панкреатитом, осложненным панкреатическими свищами и псевдокистами. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2016; 4 (2): 6-12
  13. Saad D.F., Gow K.W., Cabbabe S. et al. Laparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts in children. Journal of Pediatric Surgery. 2005; 40: 13-7.
  14. Anadolulu A., Kafadar MT, Gök MA, Anadolulu Z. Laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation for pancreatic pseudocyst in a 10-year-old boy. Journal of Pediatric Surgery Case Reports. 2018; 34: 10-2.
  15. Ray S, Sanyal S, Ghatak S, et al. Frey procedure for chronic pancreatitis in children: A single center experience. Journal of Pediatric Surgery. 2015; Nov;50(11):1850-3.
  16. Teh S.H, Pham T.H, Lee A, et al. Pancreatic pseudocyst in children: the impact of management strategies on outcome. J. Pediatr Surg. 2006; 41(11): 1889-93.

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